Fluxograma para apoiar profissionais de saúde no cuidado de mulheres idosas com complicações tardias pós tratamento de câncer de mama / Alinne Cristine

Abstract

Objective: To build a therapeutic itinerary flowchart to support health professionals in caring for elderly women with late complications after breast cancer treatment. METHODOLOGICAL APPROACH: This study was carried out in three stages: Stage 1: is part of the scientific evidence topic of this study. It is an integrative review of the literature on the most common late complications after breast cancer treatment, in the Scielo, Lilacs, Pubmed/Medline, BDENF and Web of Science databases, where the following descriptors were used: Breast Neoplasms; Elderly; Postoperative Complications; Breast Cancer. Stage 2: Documentary, exploratory, descriptive and observational research, whose sample consisted of records from the last ten years (released) from the Datasus, Siscan and Inca websites, to extract data on breast cancer (diagnosis, examinations and mortality) in Brazil, Mato Grosso and Barra do Garças/MT. Stage 3: Drawing up a flowchart to support health professionals in caring for elderly women with late complications following breast cancer treatment in Barra do Garças/MT. The flowchart was drawn up in two stages (prevention and treatment), digitally using the Canva application from November 2023 to January 2024.Results: The integrative review resulted in 163 studies, of which four were part of the review, revealing that the main late complications after breast cancer treatment were related to depressive symptoms, arm lymphedema, cognitive problems, fatigue, pain or difficulty in climbing or moving sideways, impaired total range of motion (ROM), sexual health and impaired body image. The findings of secondary data from the last 10 years (2013 to 2023) revealed that the number of diagnoses of breast cancer in Brazil in women aged 60 or over was 188,313. In Mato Grosso this total was 1,814 and in Barra do Garças it was 16 women. Mortality among women with breast cancer aged 60 or over accounted for 53% of deaths in Brazil, 43% in Mato Grosso and 41% in Barra do Garças/MT. As for the health technology product developed, the flowchart created in two stages in this study contains information for health professionals to support the care of elderly women with late complications following breast cancer treatment. The first stage contains information related to the prevention of late complications, namely: obesity, physical activity, nutrition and tobacco cessation; and the second stage contains information focused on the treatment/monitoring/referral of elderly women with late complications, namely: emotional aspects, lymphedema, cognitive impairment, neuropathy, sexual health and body image. Conclusion: The technological health product developed, of the flowchart type, aims to support health professionals in caring for this profile of elderly women, consequently improving their quality of life, since healthy lifestyle behaviors are fundamental to reducing the risk of recurrence of the disease, its possible complications and the damage left by the disease and treatment. These factors can contribute to improving the well-being of elderly women.